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  2. CQM-6611

Request for ePC-02 exclusion expansion to include placental abruption

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      Thank you for your question, specific to CMS334 (Caesarean Birth). A perinatal technical advisory panel (TAP) convened in December 2022 and considered this question. The TAP decided that abruption is too difficult to define, with ranges from spotting to full-on abruption. Therefore, the TAP recommended that placenta abruption not be added as an exclusion.
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      Thank you for your question, specific to CMS334 (Caesarean Birth). A perinatal technical advisory panel (TAP) convened in December 2022 and considered this question. The TAP decided that abruption is too difficult to define, with ranges from spotting to full-on abruption. Therefore, the TAP recommended that placenta abruption not be added as an exclusion.
    • CMS1074v1
    • CMS0334v5
    • CMS0334v4
    • ePC-02 performance rates based on cases that fail when a cesarean birth was related to placental abruption do not accurately report our organizations’ safe cesarean rates among the measure’s focused population.

      As we prepare for our transition to mandatory ePC02 reporting, the following communication from our Service Line Chief, Dr. Wharton, provides critical rationale on behalf of our organizations’ senior physicians who are requesting that CMS include placental abruption to the measure’s exclusionary diagnoses.

      “Understandably, the conditions of Placenta Previa, Vasa Previa, and Placenta Accreta Syndrome need to be excluded as the need for cesarean delivery is absolute and cannot be controlled by the providers.  Like the other placental conditions, placental abruption can be an acute emergency where it commonly results in hemorrhage and/or fetal demise.  Prompt cesarean delivery most often is the only treatment option to preserve the life of the mother and baby.”

       

      Request submitted by:

      Kurt R. Wharton MD FACOG

      Professor, Oakland University William Beaumont School of Medicine

      OB/GYN Service Line Chief, Corewell Health East

      Chief, Women’s Clinical Care Programs, Corewell Health East

      Physician Executive for OB/GYN, Corewell Health Medical Group East

      Vice-Chairman for Obstetric Operations

      Corewell Health William Beaumont University Hospital

            JLeflore Mathematica EH eCQM Team
            margaret.venditti@beaumont.org Margaret Venditti
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